State Ex Rel. Metropolitan Life Insurance v. Hostetter

92 S.W.2d 122, 338 Mo. 589, 1936 Mo. LEXIS 495
CourtSupreme Court of Missouri
DecidedMarch 18, 1936
StatusPublished
Cited by6 cases

This text of 92 S.W.2d 122 (State Ex Rel. Metropolitan Life Insurance v. Hostetter) is published on Counsel Stack Legal Research, covering Supreme Court of Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Ex Rel. Metropolitan Life Insurance v. Hostetter, 92 S.W.2d 122, 338 Mo. 589, 1936 Mo. LEXIS 495 (Mo. 1936).

Opinion

*591 TIPTON, J.

We issued our writ of certiorari to review the judgment of the St. Louis Court of Appeals in the case of Charles R. Moss v. Metropolitan Life Insurance Company. The opinion in that case is reported in 84 S. W. (2d) 395, where a complete statement of the facts in the case may be found.

The respondent, a former employee of the St. Joseph Lead Company sued to obtain from the relator benefits under the total and permanent disability provision of a group insurance policy, issued by the relator, the pertinent provisions of which are as follows:

“Upon receipt at its Home Office in the City of New York of due proof that any Employee, while insured hereunder and prior to his sixtieth birthday, has become totally and permanently disabled, as the result of bodily injury or disease, so as to be prevented thereby from engaging in any occupation and performing any work for compensation or profit, the Company will waive the payment of further premiums as to such Employee and six months after receipt of such proof will commence to pay, in lieu of the payment of insurance at his death, monthly installments as defined below to the said Employee . . . and will continue such payments for the period pro *592 vided below, should the insured continue totally and permanently disabled.”

The policy expired March 31, 1932, and the plaintiff in the case under review worked for approximately sixteen days during April, 1932. The respondents in their opinion set out the evidence of several witnesses for plaintiff showing that he was totally and permanently disabled during the month of March of that year. It is the respondents’ contention because, during this month of April, plaintiff continued to perform the usual duties of his employment in a manner satisfactory to his employer and received the usual compensation for the same, the trial court should have directed a verdict for relator.

The respondents construed the provisions of the policy as follows: “Policy provisions insuring against total and permanent disability, such as the provisions here involved, are not given a strict and literal construction, but are given a liberal construction, on the theory that the fair intention of the parties to the contract is that the insured shall receive indemnity when he is disabled as a' result of bodily injury or disease to the extent that he is unable to carry on any occupation, business or profession which without the disabling injury or disease he would be able to engage in. It is not required that he shall be absolutely helpless, but he is totally disabled when the infirmity from which he suffers renders him unable to perform in the usual and customary way substantially all the material acts of any oceupátion, business or profession. he would be able to engage in but for his disabling infirmity. The mere fact that he performed the duties of his occupation for a time is not sufficient in itself to defeat his claim of total disability. He may have worked when really unable and at the risk of endangering his health or life. The fact that under distressing circumstances a strong will and great courage caused him to do what he was unable to do without great physical pain and effort, or without endangering his health or life, or what common care and prudence would require a person in his condition to desist from doing, does not as a matter of law show that he was not totally disabled. [Rickey v. New York Life Ins. Co. (Mo. App.), 71 S. W. (2d) 88; Missouri State Life Ins. Co. v. Case (Ark.), 71 S. W. (2d) 199; Kemper v. Police & Firemen’s Ins. Co. (Tex.), 44 S. W. (2d) 978; Lumbra v. United States, 54 Sup. Ct. 272; Home Life Ins. Co. v. Ward (Ark.), 75 S. W. (2d) 379; Kinyon v. Kinyon (Mo. App.), 71 S. W. (2d) 78; McMahon v. Supreme Council, 54 Mo. App. 468; Travelers’ Ins. Co. v. Turner (Ky.), 39 S. W. (2d) 216; James v. United States Casualty Co., 113 Mo. App. 622, 88 S. W. 125; Aetna Life Ins. Co. v. Wyant (Ky.), 61 S. W. (2d) 50; Mutual Benefit Health & Accident Assn. v. Bird (Ark.), 47 S. W. (2d) 812; Foglesong v. Modern Brother *593 hood of America, 121 Mo. App. 548, 97 S. W. 240; Equitable Life Assur. Soc. v. Merlock (Ky.), 69 S. W. (2d) 12; Prudential Ins. Co. v. Harris (Ky.), 70 S. W. (2d) 949; Kane v. Metropolitan Life Ins. Co. (Mo. App.), 73 S. W. (2d) 826.]

“It is manifest that this court may not say as a matter of law that plaintiff here did not become totally and permanently disabled, while the policy was in force, within the meaning of the policy. To do so would be to ignore the undisputed testimony.”

The relator contends that the ruling of the respondents is in conflict with our opinion in' the case of Martin v. Travelers ’ Insurance Co., 310 Mo. 411, 276 S. W. 380. In that case the widow of the insured obtained a judgment against the defendant on an accident insurance policy. We think the opinion of the respondents does not conflict with it,'as the following quotation will show:

“Was insured, by reason of such accidental injury, %uholly and continuously d/isabled from date of accident, within the meaning ot the policy ? The policy contained the following provisions:

“ ‘If such injuries shall wholly and continuously disable the insured from date of accident from performing any and every kind of duty pertaining to his occupation, and during the period of such continuous disability but within 120 days from date of accident, shall result, independently and exclusively of all other causes in any one of the losses enumerated in this part, the company will pay the sum set opposite such loss,’ etc. (Italics ours.)

“It was then provided that for loss of life the company would pay the principal sum of the policy, which was $1000.

“That insured was wholly and continuously disabled from a period of two or three days after the time of his alleged injury to the date of his death, there is no question on this record. Nor can there be any doubt that he was not wholly and continuously disabled from the night of September 15th, when the alleged injury was received, until after the completion of his night’s work, on the shift beginning September 17th, from performing any and every kind of duty pertaining to his occupation. The question then is whether an injury suffered through accident, which does not result in wholly and continuously disabling the insured for two or three days after the accidental injury, comes within the provision that such injury ‘shall wholly and continuously disable the insured from date of accident.’ The Springfield Court of Appeals held that the evidence tended to show that fact. It held that the words ‘from date of accident,’ and ‘immediate’ or ‘immediately,’ were of similar import, and concluded that the weight of authority in construing such words of similar import justified the conclusion that total disability, resulting from the accidental injury and within two or three days thereafter, was total disability ‘from date of accident’ within the meaning of the *594 policy before ns. The Court of Appeals thus stated its conclusion in this respect:

‘We

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Bluebook (online)
92 S.W.2d 122, 338 Mo. 589, 1936 Mo. LEXIS 495, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-metropolitan-life-insurance-v-hostetter-mo-1936.